Pediatric Allergy Immunology Assoc.,P.a.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

PEDIATRIC ALLERGY IMMUNOLOGY ASSOC.,P.A.

Doing business as

Allergy and Asthma Associates of North Texas

Practice address

4500 Hillcrest
Suite 150
Frisco, TX 75035-5418

Phone

(972) 377-4025

Fax

(972) 377-4022

NPI assigned

Oct 25, 2006

Last updated

Jun 28, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard L Wasserman, M.D., PHDNPI 1346234614

Title

President

Phone

(972) 566-7788

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Allergy and Asthma Associates of North Texas Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Lawrence Wasserman, MD, PHD

  • Allergy & Immunology Physician
  • Dallas, TX
  • NPI 1346234614
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1093899874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B332",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7788",
            "fax_number": "972-566-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HILLCREST",
            "address_2": "SUITE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355418",
            "telephone_number": "972-377-4025",
            "fax_number": "972-377-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ALLERGY IMMUNOLOGY ASSOC.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-566-7788",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200032360A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085161002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Associates of North Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.